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r <br /> APPLICATI( � FOR ELECTRICAL : =RMIT <br /> C/TY OF EVERETT <br /> BUICD/NG OIV/S/0N <br /> 3200 CEDAR STREET <br /> EVERETT, WA 9H2O1 <br /> (425)257-8810 <br /> ZI31 l.�c�'f—n�c—� frc/� <br /> PROJECT ADt7RESS <br /> rn�H,��h,�,J �y9z� 2�3 � ��,-.�� A,,� �'��� �—.l�d <br /> CTvner AAailAddress CRy Shta2lp pryp� <br /> Tenant MaitAddresa City SWtelZip plwna <br /> 1,�„IOFr ,zc�cht,C �-J�- 7D��{ �bb T/>' na£ �D/�iailA <br /> Eiectrical Contrado� Mad Address CAy S�atdZip phone <br /> State License Number . Cantrect Price of Work <br /> Proposed Use of Building <br /> Description of Work to Be Done: f F2U C� lLO /?Jf0 �� �Z S qM/� /��yj� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CAFc FACILITIES <br /> MUST BE APPROVED BY THE STATE OF WASHINGTON. APPIICANTS WITH SUCH JOBS MUST SHOW THE <br /> STATE APFROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN R,4CEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL ANG OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPM�NT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TR,4VEL SHALL BE MOUNTED WITHIN THE FtEACH <br /> R,4NGES OF WAC 51-20 SEC. 3106(b)4 E&F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA770N AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL <br /> PROVISIONS OF LA WS AND ORDINANCES GOVERNING THIS TYPE OF WORX WILL BE COMPLETED WHErHER SPECIFIED HEREIN OR NOT, <br /> THE GR.4NTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE <br /> OR LOCAL L4W REGULATIN6 CONSTRUCTION OR THE P�RFORMANCE OF CONS7RUCTION. THAT 1 AM AUTHORIZED BY THE O WNER OF <br /> TH/S PROPERTY TO PERFORM THE WORK FOR WHG{f�7PPLICA7lON IS MADE AND 1 COMPLY WITH THE STATE GONTA.4CiORS UiW 19.27 <br /> RCW AND 296.200 WAC. <br /> � Z—g� FEE <br /> � <br /> Signature Date <br /> � <br /> J ^ �,/ � l <br /> lIfCXI�tV 1Y11� <br />